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Dr. Pablo Gelberالعربية

Patient question

I am a female runner with a stress fracture. Should I get my bones checked?

Dr. Pablo GelberOrthopaedic Knee Surgeon

Quick answer

Often, yes. In active women a stress fracture can be the first sign of low energy availability, irregular periods or low bone density, especially after a second fracture or one at an unusual site. A short bone health review alongside knee care is sensible, advises Dr. Pablo Gelber, knee surgeon at Aman Hospital in Doha, Qatar.

Why women are asked extra questions

Bone needs enough energy, hormones and nutrients to repair itself. When a woman trains hard but eats too little for her activity, the body may reduce oestrogen, periods become irregular or stop, and bone becomes weaker. This pattern is known as relative energy deficiency in sport, or RED-S, and it can affect men too.

It is easy to miss, because many athletes see lighter or missed periods as normal for training. They are not, and they are worth mentioning to your doctor.

When a bone health check makes sense

  • A second or repeated stress fracture
  • A stress fracture from a modest training load
  • Periods that are irregular, absent for three months or more, or stopped with training
  • Low body weight, recent weight loss or restrictive eating
  • A family history of osteoporosis, or long-term steroid use

What the review usually involves

The assessment starts with questions about training, diet, periods and past injuries. Blood tests may include vitamin D, calcium and other markers chosen by the doctor. A bone density scan (DEXA) is arranged for selected women.

Treatment is practical: matching food intake to training, correcting vitamin D if low, and, where needed, involving a gynaecologist, endocrinologist or sports dietitian. These steps protect the knee and the rest of the skeleton.

Care at Aman Hospital in Doha

Dr. Gelber manages the stress fracture itself: confirming the diagnosis, guiding relative rest and staging the return to running. Where the history suggests a bone health issue, he arranges the appropriate tests and referrals so the cause is addressed, not just the crack. The conversation is confidential, and you can bring a family member if you prefer.

Frequently asked questions

I am young. Can I really have weak bones?

Yes. Low energy availability can lower bone density in young athletes, and the teens and twenties are when bone strength is built, so it is worth addressing early.

Will I have to stop running for good?

Usually not. Most women return to running once the fracture heals and the underlying factors are corrected.

Related

Medically reviewed by Dr. Pablo Gelber · Last updated

This page is general information and not a substitute for a medical consultation. Treatment decisions depend on an individual examination.